Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
VIRGIL ADKINS TRUST 117702
 
Number and street (or P.O. box number if mail is not delivered to street address)1100 WEST ST GERMAIN STREET
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ST CLOUD, MN56301
A Employer identification number

41-1642234
B Telephone number (see instructions)

(320) 258-2464
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,219,311J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 250 250  
4 Dividends and interest from securities... 32,450 32,418  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 27,801
b Gross sales price for all assets on line 6a 340,838
7 Capital gain net income (from Part IV, line 2)... 27,801
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 60,501 60,469  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 15,909 15,909    
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 250 250 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,448 1,448   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 29 29    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 17,636 17,636 0 0
25 Contributions, gifts, grants paid....... 67,000 67,000
26 Total expenses and disbursements. Add lines 24 and 25 84,636 17,636 0 67,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -24,135
b Net investment income (if negative, enter -0-) 42,833
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 27,682 17,815 17,815
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 229,598 Click to see attachment142,946 150,550
b Investments—corporate stock (attach schedule)....... 544,817 Click to see attachment581,471 743,129
c Investments—corporate bonds (attach schedule)....... 186,295 Click to see attachment186,460 175,384
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 106,277 Click to see attachment140,743 132,433
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,094,669 1,069,435 1,219,311
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 1,094,669 1,069,435
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 1,094,669 1,069,435
31 Total liabilities and net assets/fund balances (see instructions). 1,094,669 1,069,435
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,094,669
2
Enter amount from Part I, line 27a .....................
2
-24,135
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
14
4
Add lines 1, 2, and 3 ..........................
4
1,070,548
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,113
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
1,069,435
Form 990-PF (2015)
Form 990-PF (2015)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1 a 172.94 FHLMC GD PL #G06782 4.000% 10/01/41   2012-02-21 2015-01-15
b 437.13 GNMA SER 113 CMO 2.500% 10/20/37   2010-10-13 2015-01-20
c 129.59 FNMA PL #256636 5.500% 3/01/37   2013-11-15 2015-01-25
d 103.38 FNMA PL #257003 5.500% 12/01/37   2011-04-26 2015-01-25
e 338.61 FNMA PL #AJ0029 4.000% 10/01/41   2012-03-23 2015-01-25
674.9 FNMA SER 19 CMO 4.000% 1/25/33   2013-11-14 2015-01-25
129.29 FNMA PL #727437 4.500% 7/01/18   2010-02-23 2015-01-25
114.34 FHLMC GD PL #G06782 4.000% 10/01/41   2012-02-21 2015-02-15
434.73 GNMA SER 113 CMO 2.500% 10/20/37   2010-10-13 2015-02-20
253.86 FNMA PL #256636 5.500% 3/01/37   2013-11-15 2015-02-25
32.59 FNMA PL #257003 5.500% 12/01/37   2011-04-26 2015-02-25
234.23 FNMA PL #AJ0029 4.000% 10/01/41   2012-03-23 2015-02-25
310.89 FNMA SER 19 CMO 4.000% 1/25/33   2013-11-14 2015-02-25
205.35 FNMA PL #727437 4.500% 7/01/18   2010-02-23 2015-02-25
220. MYLAN LABORATORIES INC   2013-04-05 2015-03-02
337.5 FHLMC GD PL #G06782 4.000% 10/01/41   2012-02-21 2015-03-15
13. AIR PRODUCTS & CHEMICAL INC COM   2013-04-05 2015-03-20
6. AKAMAI TECHNOLOGIES INC   2013-04-05 2015-03-20
10. APPLE COMPUTER INC   2013-01-24 2015-03-20
10. CELGENE CORP   2013-03-05 2015-03-20
10. COMCAST CORP-CL A   2010-01-29 2015-03-20
8. EBAY INC   2013-03-05 2015-03-20
8. F5 NETWORKS INC   2013-07-10 2015-03-20
432.34 GNMA SER 113 CMO 2.500% 10/20/37   2010-10-13 2015-03-20
248.26 FNMA PL #256636 5.500% 3/01/37   2013-11-15 2015-03-25
127.31 FNMA PL #257003 5.500% 12/01/37   2011-04-26 2015-03-25
164.02 FNMA PL #AJ0029 4.000% 10/01/41   2012-03-23 2015-03-25
287.71 FNMA SER 19 CMO 4.000% 1/25/33   2013-11-14 2015-03-25
121.51 FNMA PL #727437 4.500% 7/01/18   2010-02-23 2015-03-25
25000. NEW JERSEY ST 5.050% 4/01/15   2012-02-13 2015-04-01
164.24 FHLMC GD PL #G06782 4.000% 10/01/41   2012-02-21 2015-04-15
1118. HUDSON CITY BANCORP INC   2013-04-05 2015-04-16
933.15 GNMA SER 113 CMO 2.500% 10/20/37   2010-10-13 2015-04-20
253.28 FNMA PL #256636 5.500% 3/01/37   2013-11-15 2015-04-25
142.08 FNMA PL #257003 5.500% 12/01/37   2011-04-26 2015-04-25
66.15 FNMA PL #AJ0029 4.000% 10/01/41   2012-03-23 2015-04-25
268.26 FNMA SER 19 CMO 4.000% 1/25/33   2013-11-14 2015-04-25
163.48 FNMA PL #727437 4.500% 7/01/18   2010-02-23 2015-04-25
148. CITIGROUP INC   2012-12-14 2015-05-06
60. CORE LABORATORIES NV   2014-12-23 2015-05-06
402.9 FHLMC GD PL #G06782 4.000% 10/01/41   2012-02-21 2015-05-15
.033 GOOGLE INC CLASS C   2010-01-29 2015-05-19
1082.77 GNMA SER 113 CMO 2.500% 10/20/37   2010-10-13 2015-05-20
156.86 FNMA PL #256636 5.500% 3/01/37   2013-11-15 2015-05-25
99.55 FNMA PL #257003 5.500% 12/01/37   2011-04-26 2015-05-25
175.31 FNMA PL #AJ0029 4.000% 10/01/41   2012-03-23 2015-05-25
296. FNMA SER 19 CMO 4.000% 1/25/33   2013-11-14 2015-05-25
174.2 FNMA PL #727437 4.500% 7/01/18   2010-02-23 2015-05-25
183. VODAFONE GROUP SPONS ADR   2013-04-05 2015-06-11
239.34 FHLMC GD PL #G06782 4.000% 10/01/41   2012-02-21 2015-06-15
916.64 GNMA SER 113 CMO 2.500% 10/20/37   2010-10-13 2015-06-20
182.91 FNMA PL #256636 5.500% 3/01/37   2013-11-15 2015-06-25
111.44 FNMA PL #257003 5.500% 12/01/37   2011-04-26 2015-06-25
199.66 FNMA PL #AJ0029 4.000% 10/01/41   2012-03-23 2015-06-25
502.11 FNMA SER 19 CMO 4.000% 1/25/33   2013-11-14 2015-06-25
146.23 FNMA PL #727437 4.500% 7/01/18   2010-02-23 2015-06-25
107.34 FHLMC GD PL #G06782 4.000% 10/01/41   2012-02-21 2015-07-15
172. EMERSON ELECTRIC CO   2013-04-05 2015-07-16
119. PEPSICO INC   2012-12-14 2015-07-16
127. SCHLUMBERGER LTD   2013-04-05 2015-07-16
1020.44 GNMA SER 113 CMO 2.500% 10/20/37   2010-10-13 2015-07-20
156.06 FNMA PL #256636 5.500% 3/01/37   2013-11-15 2015-07-25
114.58 FNMA PL #257003 5.500% 12/01/37   2011-04-26 2015-07-25
561.02 FNMA PL #AJ0029 4.000% 10/01/41   2012-03-23 2015-07-25
520.8 FNMA SER 19 CMO 4.000% 1/25/33   2013-11-14 2015-07-25
178.79 FNMA PL #727437 4.500% 7/01/18   2010-02-23 2015-07-25
91.96 FHLMC GD PL #G06782 4.000% 10/01/41   2012-02-21 2015-08-15
965.89 GNMA SER 113 CMO 2.500% 10/20/37   2010-10-13 2015-08-20
89. DOVER CORP   2013-03-05 2015-08-24
212. QUANTA SERVICES INCORPORATED   2014-04-17 2015-08-24
146.66 FNMA PL #256636 5.500% 3/01/37   2013-11-15 2015-08-25
35.46 FNMA PL #257003 5.500% 12/01/37   2011-04-26 2015-08-25
164.41 FNMA PL #AJ0029 4.000% 10/01/41   2012-03-23 2015-08-25
573.09 FNMA SER 19 CMO 4.000% 1/25/33   2013-11-14 2015-08-25
205.89 FNMA PL #727437 4.500% 7/01/18   2010-02-23 2015-08-25
13.43 FHLMC GD PL #G06782 4.000% 10/01/41   2012-02-21 2015-09-15
793.68 GNMA SER 113 CMO 2.500% 10/20/37   2010-10-13 2015-09-20
183.36 FNMA PL #256636 5.500% 3/01/37   2013-11-15 2015-09-25
67.4 FNMA PL #257003 5.500% 12/01/37   2011-04-26 2015-09-25
214.42 FNMA PL #AJ0029 4.000% 10/01/41   2012-03-23 2015-09-25
312.22 FNMA SER 19 CMO 4.000% 1/25/33   2013-11-14 2015-09-25
140.85 FNMA PL #727437 4.500% 7/01/18   2010-02-23 2015-09-25
2455.795 SEI MULTI-ASSET ACCUM-A   2015-07-15 2015-10-01
2455.796 SEI MULTI-ASSET ACCUM-A   2013-07-16 2015-10-01
99. AIR PRODUCTS & CHEMICAL INC COM   2012-12-14 2015-10-02
9. CAMERON INTERNATIONAL CORP   2014-12-23 2015-10-02
101. CAMERON INTERNATIONAL CORP   2012-12-14 2015-10-02
67. ECOLAB INC   2014-08-21 2015-10-02
1824.627 SIMT LARGE CAP FUND-A   2013-03-05 2015-10-06
806.099 SEI SIMT HIGH YIELD BOND CL A 59   2014-05-14 2015-10-06
470.887 SEI SIT EMERGING MKT DEBT CL A 98   2012-09-10 2015-10-06
119.66 FHLMC GD PL #G06782 4.000% 10/01/41   2012-02-21 2015-10-15
707.19 GNMA SER 113 CMO 2.500% 10/20/37   2010-10-13 2015-10-20
144.18 FNMA PL #256636 5.500% 3/01/37   2013-11-15 2015-10-25
104.63 FNMA PL #257003 5.500% 12/01/37   2011-04-26 2015-10-25
150.16 FNMA PL #AJ0029 4.000% 10/01/41   2012-03-23 2015-10-25
309.84 FNMA SER 19 CMO 4.000% 1/25/33   2013-11-14 2015-10-25
106.74 FNMA PL #727437 4.500% 7/01/18   2010-02-23 2015-10-25
15. HALLIBURTON CO   2014-12-23 2015-10-26
155. HALLIBURTON CO   2014-08-06 2015-10-26
220. MYLAN NV   2015-03-02 2015-10-26
102.33 FHLMC GD PL #G06782 4.000% 10/01/41   2012-02-21 2015-11-15
709.14 GNMA SER 113 CMO 2.500% 10/20/37   2010-10-13 2015-11-20
1270.648 TORTOISE MLP & PIPELINE-INS   2015-07-15 2015-11-23
63. VMWARE INC.   2013-10-14 2015-11-23
285.62 FNMA PL #256636 5.500% 3/01/37   2013-11-15 2015-11-25
88.88 FNMA PL #257003 5.500% 12/01/37   2011-04-26 2015-11-25
126.83 FNMA PL #AJ0029 4.000% 10/01/41   2012-03-23 2015-11-25
429.07 FNMA SER 19 CMO 4.000% 1/25/33   2013-11-14 2015-11-25
106.19 FNMA PL #727437 4.500% 7/01/18   2010-02-23 2015-11-25
35000. U.S. TREASURY NOTES 3.625% 8/15/19   2014-05-15 2015-12-07
69.52 FHLMC GD PL #G06782 4.000% 10/01/41   2012-02-21 2015-12-15
568.09 GNMA SER 113 CMO 2.500% 10/20/37   2010-10-13 2015-12-20
95.34 FNMA PL #256636 5.500% 3/01/37   2013-11-15 2015-12-25
79.05 FNMA PL #257003 5.500% 12/01/37   2011-04-26 2015-12-25
117.03 FNMA PL #AJ0029 4.000% 10/01/41   2012-03-23 2015-12-25
467.2 FNMA SER 19 CMO 4.000% 1/25/33   2013-11-14 2015-12-25
112.81 FNMA PL #727437 4.500% 7/01/18   2010-02-23 2015-12-25
CAPITAL GAIN DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 173   177 -4
b 437   441 -4
c 130   135 -5
d 103   107 -4
e 339   347 -8
675   679 -4
129   130 -1
114   117 -3
435   439 -4
254   264 -10
33   34 -1
234   240 -6
311   313 -2
205   207 -2
12,695   4,206 8,489
338   346 -8
1,989   1,096 893
439   218 221
1,276   651 625
1,263   462 801
592   161 431
464   339 125
919   576 343
432   436 -4
248   258 -10
127   131 -4
164   168 -4
288   289 -1
122   123 -1
25,000   25,000  
164   168 -4
10,386   7,092 3,294
933   941 -8
253   263 -10
142   146 -4
66   68 -2
268   270 -2
163   165 -2
7,817   5,562 2,255
7,793   8,721 -928
403   413 -10
18   9 9
1,083   1,092 -9
157   163 -6
100   102 -2
175   180 -5
296   298 -2
174   175 -1
6,681   8,703 -2,022
239   245 -6
917   924 -7
183   190 -7
111   114 -3
200   205 -5
502   505 -3
146   147 -1
107   110 -3
9,177   7,636 1,541
11,539   7,261 4,278
10,663   8,237 2,426
1,020   1,029 -9
156   162 -6
115   118 -3
561   575 -14
521   524 -3
179   180 -1
92   94 -2
966   974 -8
5,180   3,364 1,816
4,714   7,166 -2,452
147   152 -5
35   36 -1
164   168 -4
573   576 -3
206   207 -1
13   14 -1
794   800 -6
183   189 -6
67   69 -2
214   219 -5
312   314 -2
141   142 -1
23,453   25,441 -1,988
23,453   25,874 -2,421
12,798   7,630 5,168
555   451 104
6,232   5,392 840
7,553   7,629 -76
25,691   22,881 2,810
5,667   6,053 -386
4,214   5,550 -1,336
120   122 -2
707   713 -6
144   149 -5
105   107 -2
150   154 -4
310   311 -1
107   107  
578   596 -18
5,974   10,602 -4,628
9,227   12,695 -3,468
102   105 -3
709   714 -5
14,689   20,212 -5,523
3,667   5,031 -1,364
286   295 -9
89   91 -2
127   130 -3
429   431 -2
106   107 -1
37,725   36,672 1,053
70   71 -1
568   572 -4
95   98 -3
79   81 -2
117   120 -3
467   470 -3
113   113  
      17,225
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a       -4
b       -4
c       -5
d       -4
e       -8
      -4
      -1
      -3
      -4
      -10
      -1
      -6
      -2
      -2
      8,489
      -8
      893
      221
      625
      801
      431
      125
      343
      -4
      -10
      -4
      -4
      -1
      -1
       
      -4
      3,294
      -8
      -10
      -4
      -2
      -2
      -2
      2,255
      -928
      -10
      9
      -9
      -6
      -2
      -5
      -2
      -1
      -2,022
      -6
      -7
      -7
      -3
      -5
      -3
      -1
      -3
      1,541
      4,278
      2,426
      -9
      -6
      -3
      -14
      -3
      -1
      -2
      -8
      1,816
      -2,452
      -5
      -1
      -4
      -3
      -1
      -1
      -6
      -6
      -2
      -5
      -2
      -1
      -1,988
      -2,421
      5,168
      104
      840
      -76
      2,810
      -386
      -1,336
      -2
      -6
      -5
      -2
      -4
      -1
       
      -18
      -4,628
      -3,468
      -3
      -5
      -5,523
      -1,364
      -9
      -2
      -3
      -2
      -1
      1,053
      -1
      -4
      -3
      -2
      -3
      -3
       
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 27,801
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 65,000 1,360,659 0.047771
2013 62,550 1,313,466 0.047622
2012 63,400 1,272,673 0.049816
2011 60,501 1,282,071 0.04719
2010 57,604 1,245,469 0.046251
2
Total of line 1, column (d) .....................
20.23865
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years . . .
3
0.04773
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
1,311,330
5
Multiply line 4 by line 3......................
5
62,590
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
428
7
Add lines 5 and 6........................
7
63,018
8
Enter qualifying distributions from Part XII, line 4.............
8
67,000
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2015)
Form 990-PF (2015)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 428
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 428
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 428
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 1,048
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,048
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 620
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet620 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMN
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletBREMER TRUST NA Telephone no.bullet (320) 258-2464

    Located atbullet1100 WEST ST GERMAIN STREETST CLOUDMN ZIP+4bullet56301
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet2008, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    BREMER TRUST N A TRUSTEE
    1     		15,909    
    1100 WEST ST GERMIAN STREET
    ST CLOUD,MN56302
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    37,981
    b
    Average of monthly cash balances.......................
    1b
    1,293,319
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,331,300
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,331,300
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    19,970
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,311,330
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    65,567
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    65,567
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    428
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    428
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    65,139
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    65,139
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    65,139
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    67,000
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    67,000
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    428
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    66,572
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2014     		(c)
    2014     		(d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7 65,139
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 66,771
    b Total for prior years:2013, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 0
    b From 2011...... 0
    c From 2012...... 0
    d From 2013...... 0
    e From 2014...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 67,000
    a Applied to 2014, but not more than line 2a 66,771
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2015 distributable amount..... 229
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		64,910
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2011.... 0
    b Excess from 2012.... 0
    c Excess from 2013.... 0
    d Excess from 2014.... 0
    e Excess from 2015.... 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    MINNEAPOLIS SOCIETY FOR THE BLIND
    MS KATE GRATHWOL
    1936 LYNDALE AVE S
    MINNEAPOLIS,MN554033101     		NONE PC GRAL OPERATING CHARITABLE 26,800
    SIGHT & HEARING ASSN
    MS KATHY WEBB EXECUTIVE DIR
    1246 UNIVERSITY AVE W STE 226
    ST PAUL,MN551044125     		NONE PC GRAL OPERATING CHARITABLE 20,100
    COURAGE KENNY FOUNDATION
    ATTN STEPHEN BARITEAU
    3915 GOLDEN VALLEY RD
    MINNEAPOLIS,MN55422     		NONE SO-I PROGRAM SUPPORT 10,050
    FOLEY SCHOOL DISTRICT
    840 NORMAN AVE N
    FOLEY,MN56329     		NONE PC SCHOLARSHIPS 5,025
    MILACA PUBLIC SCHOOLS
    DAMIAN PATNODE PRINCIPAL
    500 HWY 23 W
    MILACA,MN56353     		NONE PC SCHOLARSHIPS 5,025
    Total .................................bullet 3a 67,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		    14 250  
    4 Dividends and interest from securities....     14 32,450  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 27,801  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   60,501  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1360,501
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    VIRGIL ADKINS TRUST 117702
    EIN:
    41-1642234
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 250 250    

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    VIRGIL ADKINS TRUST 117702
    EIN:
    41-1642234
    Name of Bond End of Year Book Value End of Year Fair Market Value
    FEDERATED INTMD COR BD INSTL 102,429 97,727
    SEI SIMT HIGH YEILD BOND CL A 20,161 18,881
    SEI SIT EMERGING MKT DEBT CL A 23,650 19,795
    SEI MULTI-ASSET INCOME - A 12,663 12,034
    SIMT U.S. FIXED INCOME FUND CL 27,557 26,947

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    VIRGIL ADKINS TRUST 117702
    EIN:
    41-1642234
    Name of Stock End of Year Book Value End of Year Fair Market Value
    FEDERATED STRATEGIC VAL DIV IS 44,446 65,845
    HARBOR INTERNATIONAL FD-INS 45,697 57,905
    OPPENHEIMER DEVELOPING MKT-Y 38,693 40,609
    SIMT LARGE CAP FUND - A 23,530 24,788
    SIMT SMALL CAP FUND - A 64,790 63,506
    VANGUARD INTERNATIONAL GROWTH 42,244 61,816
    3M CO 4,762 8,888
    ABBOT LABS 5,522 8,533
    AIR PRODUCTS & CHEMICALS, INC.    
    AKAMAI TECHNOLOGIES, INC. 4,401 9,210
    APPLE, INC. 5,179 14,210
    CAMERON INTERNATIONAL CORP    
    CELGENE CORP 2,842 11,976
    CISCO SYSTEMS, INC. 5,072 8,065
    CITIGROUP, INC.    
    COLGATE PALMOLIVE CO 4,421 7,195
    COMCAST CORP CL A 3,220 11,286
    DOVER CORP    
    EBAY INC 3,784 6,046
    EMC CORP MASS 5,931 7,036
    EMERSON ELEC CO    
    EXXONMOBIL CORP 4,551 5,457
    GOOGLE INC CL A    
    HUDSON CITY BANCORP INC    
    ITC HOLDINGS CORP 7,848 13,424
    MYLAN INC    
    NIKE INC - CLASS B 5,138 13,375
    PEPSICO INC    
    PROCTER & GAMBLE CO 4,963 6,353
    QUALCOMM INC 3,886 4,749
    SCHLUMBERGER LTD    
    ST JUDE MEDICAL INC 5,785 9,451
    STATE STREET CORP 6,553 11,016
    STERICYCLE INC 3,235 7,236
    T ROWE PRICE GROUP INC 6,172 9,222
    TARGET CORP 7,325 10,093
    THERMO FISHER SCIENTIFIC INC 3,853 11,348
    VODAFONE GROUP SPONS ADR    
    VMWARE INC.    
    EXPEDITORS INTL 5,882 6,089
    F5 NETWORKS 7,201 9,696
    FORD MOTOR CO 6,507 6,989
    SPDR S&P REGIONAL BANKING ETF 6,947 8,803
    CORE LABORATORIES NV    
    ECOLAB INC    
    EXPRESS SCRIPTS HLDG 8,401 10,751
    HALLIBURTON CO    
    HONEYWELL INTL INC 6,721 7,457
    QUANTA SERVICES INC    
    DODGE & COX 15,060 12,903
    TORTOISE MLP    
    ALPHABET INC. CL A 3,170 9,107
    ALTRIA GROUP 6,013 6,578
    AMERIPRISE FINANCIAL INC. 8,401 8,301
    BLACKROCK INC. CL A 7,289 6,810
    DELTA AIRLINES INC 5,117 6,032
    GILEAD SCIENCES INC. 7,349 7,690
    HOME DEPOT INC. 4,576 5,422
    JP MORGAN CHASE & CO 10,715 11,027
    LINCOLN NATL CORP 4,125 4,423
    MARATHON PETROLEUM CORP 6,696 7,102
    NVR INC. 11,264 13,144
    ON SEMICONDUCTOR CORP 3,752 3,587
    PAYPAL HOLDINGS INC. 5,575 7,964
    PFIZER INC 4,481 4,229
    PHILIP MORRIS INTERNATIONAL 5,974 6,154
    PRICELINE GROUP INC. 3,764 3,825
    SOUTHWEST AIRLINES 3,430 3,875
    STRYKER CORP 4,230 4,182
    UNION PAC CORP 9,112 7,429
    UNITED TECHNOLOGIES 4,804 4,996
    UNITEDHEALTH GROUP INC. 2,260 2,235
    WELLS FARGO & CO. 7,794 7,719
    BARON GROWTH FUND - INS 15,748 14,403
    OPPENHEIMER INTL SMALL MID CO 15,270 15,569

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    VIRGIL ADKINS TRUST 117702
    EIN:
    41-1642234
    US Government Securities - End of Year Book Value:

    117,533
    US Government Securities - End of Year Fair Market Value:

    124,775
    State & Local Government Securities - End of Year Book Value:


    25,413
    State & Local Government Securities - End of Year Fair Market Value:


    25,775


    TY 2015 InvestmentsOtherSchedule2
    Name:
    VIRGIL ADKINS TRUST 117702
    EIN:
    41-1642234
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    DIAMOND HILL LONG/SHORT AT COST 19,698 20,456
    JOHN HANCOCK II AT COST 70,367 65,733
    SEI MULTI ASSET ACCUM      
    SEI MULTI ASSET INFL AT COST 40,490 36,518
    CREDIT SUISSE COMM RET ST-I AT COST 5,129 4,474
    T ROWE PRICE REAL ESTATE FUND AT COST 5,059 5,252

    TY 2015 OtherDecreasesSchedule
    Name:
    VIRGIL ADKINS TRUST 117702
    EIN:
    41-1642234
    Description Amount
    AMORTIZATION 1,113


    TY 2015 OtherExpensesSchedule
    Name:
    VIRGIL ADKINS TRUST 117702
    EIN:
    41-1642234
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER NON-ALLOCABLE EXPENSE - 29 29   0


    TY 2015 OtherIncreasesSchedule
    Name:
    VIRGIL ADKINS TRUST 117702
    EIN:
    41-1642234
    Description Amount
    ROUNDING 0
    BASIS ADJUSTMENT 14


    TY 2015 TaxesSchedule
    Name:
    VIRGIL ADKINS TRUST 117702
    EIN:
    41-1642234
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 10 10   0
    FEDERAL TAX PAYMENT - PRIOR YE 153 153   0
    FEDERAL ESTIMATES - INCOME 786 786   0
    FEDERAL ESTIMATES - PRINCIPAL 262 262   0
    FOREIGN TAXES ON QUALIFIED DIV 214 214   0
    FOREIGN TAXES ON NON-QUALIFIED 23 23   0